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P6nmnrinfnrtuna lAnm daftknwA fi-w imp nn PIM 112 tutiffivr6ari ' <br />Fnrrn Anrmod MR Nn- 2MM39. <br />AA Form 87flf-3tl (Rev. W4) Pravious Odium are TZ71—Ts. lIkANSPORTER'S COPil. <br />UNIFORM-HAZARDOUSS. <br />2.. Page i of <br />3. WT Rerm Phow <br />'MM <br />4. Mw&d TA <br />007 <br />3 JJK <br />WASTE MANIFEST <br />CMmews SbAfteft Of Affem ow mwft zz) <br />0j),GIC PA14TS.e E011pl. <br />WIL'.30 <br />�;TQCKTON , CA 962 <br />Clarmawft Phone:. <br />6. Tiani—spoft I Ctimp" Iftfe <br />U.S. EPA 0 Number <br />PACIFIC COAST LACQUrR <br />7. Tramportor 2 Coo"W Nam <br />U.S. EPA ID Number <br />Vbes*ialed FLName &W Sle Address <br />U.S. EPA ID Number <br />P A C R F 44 W C E, KE C 0 VA R y <br />,tl 11 M PICOWry'. <br />t.0'r;. ANGELU,'S', CA 9W—L.23 <br />Facft% Phone: (SW') 499-7146 <br />9b. U.S. DOT Desm"on (viduft Proper Stipp6ig Nam, Hewd CIM 0 Number, <br />10. conwnera <br />SS.' OW_ <br />12. Unh <br />13. Waste Codes <br />'HM <br />ard Pacft Group (I &*) <br />No. Type <br />A 3 <br />UN.I. �tO WA�RTf PAI RELAT MA'tr -R I L, <br />j)q*'h'j' FLit)o <br />, <br />.110 <br />2 14 <br />2 <br />Uj <br />3. <br />4. <br />-EE <br />R *wR ;@—" kwindsom mw Admww bionnesion <br />AP# <br />4(J)VFS, <br />f.'LRG# U44 ME <br />16, 8CERMCAMN: I hemby dedare VW Me oonWft of ft consovow are f* wW amwW* described above by the wper s*ft marts, and am deselfied, pacloged, <br />marked and labeledolacarded, W are in al mq)Kts In proper cond0on for WoW scoordkV to appkable klemafoW wd naftud govemmcmial r0gulalonS. If expolt d*mnt and I wn the Pdowy <br />E)wler, I =ft VW 00 MVWft Of ft Mn*VnWd =W= to Vie Wm of Ive allached EPAA*mWpwt of Oment <br />I =* ft Me waste mWnftason gtateffat Idenffied in 40 CFR 20227(a) (d I am a huge "a* getwelor) or w a smal quw* "Maw) is bua. <br />GeneraloesOfferoft fttedffyped Name <br />McmM Day Yew <br />inpaS to U.S. x waftenow spnerss, <br />ElEvw4us M of enhyAmt <br />Transpofter skmak" (for "ports 004: <br />Deb U.S.: <br />17.T M 0 Reo* of Materials <br />Trar"Porter I`r <br />Day Year <br />2 RV&Cyped <br />Mo* Day Yew <br />I& DW"atmy <br />18a. Discrepancy-Mcdon SpaceD <br />ftemue ❑Pft R**m <br />Fug ftogon <br />Ift.AftraleFaeft(or <br />lohm" ftlerem Number. <br />U.S. MID Number <br />Ca <br />FaAft Phone: <br />l8t ftneture of Aftmale Faft (or <br />Yew <br />19 He;awdous Waste ftxd Mogowt Id" Codes (Lm, oodw for hanmbA waft treetwO, disposal, aid M*" syshow) <br />O <br />1. 13. <br />14. <br />2o.Daso*mFKWowmoropeftrC*W,cmmofmo*ofhu&*wmdW*wmvdbyftnwg"onw*n*dlnftM18a <br />Name <br />AA Form 87flf-3tl (Rev. W4) Pravious Odium are TZ71—Ts. lIkANSPORTER'S COPil. <br />